First inspection of this domiciliary care agency rated Good overall and across all five key questions, with safe medicines management, person-centred care and effective governance. Minor concerns about staffing being 'stretched' and occasional lateness due to sickness were noted but had not significantly impacted people.
Concerns (2)
minor
Staffing levels
: “we also received comments from people saying the service had been 'stretched recently.'”
minorMissed or late visits: “Yes on the odd occasion they can be late with sickness but most of the time they arrive on time.”
Strengths
· Staff trained in medicines management and supported people to take medicines safely
· Comprehensive risk assessments kept under review with clear guidance for staff
· Robust recruitment checks including references, ID and DBS
· Care Certificate induction with shadowing and ongoing supervision and spot checks
· Person-centred care plans reflecting choices, likes and dislikes, regularly reviewed
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersNot rated
well-led: Continuous learning and improving careNot rated